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HomeMy WebLinkAboutMINUTES - 10072008 - C.105 TO: BOARD OF SUPERVISORS t> t' Contra FROM: William Walker, M.D., Health Services Director Costa By: Jacqueline Pigg, Contracts Administrator w; l DATE: September 26, 2008BUN County SUBJECT: Approval of Contract Amendment/Extension Agreement#27-277-10 with Kaiser Foundation Health Plan,Inc. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND JUSTIFICATION RECOMMENDATION(S): Approve.and authorize the Health Services Director, or his designee (Patricia Tanquary) to execute on behalf of the County, Contract Amendment/Extension Agreement #27-277-10 with Kaiser Foundation Health Plan, Inc., a non-profit corporation, effective September 30, 2008, to amend Contract #27-277-8 (as amended by Amendment Agreement #27-277-9), to increase the Contract payment limit by $11,100,000, from $25,800,000, to a new total of$36,900,000, and extend the Contract term from September 30, 2008, through September 30, 2009. FISCAL IMPACT: This Contract is funded 100% by Contra Costa Health Plan member premiums. Costs depend upon utilization. As appropriate, patients and/or third-party payors will be billed for services. BACKGROUND/REASON(S) FOR RECOMMENDATION(S): Kaiser Foundation Health Plan has been a traditional provider of health care services to Medi-Cal beneficiaries in Contra Costa County. With the implementation of the Local Initiative for Medi-Cal managed care, Kaiser, in order to continue to enroll Medi-Cal members, must affiliate with the Local Initiative. The affiliation arrangement allows Medi-Cal recipients to choose Contra Costa Health Plan as their managed care plan, and designate Kaiser as their provider. On October 3, 2006, the Board of Supervisors approved Contract #27-277-8 (as amended by Amendment Agreement#27-277-9) with Kaiser Foundation Health Plan, Inc., for the period from October 1, 2005 through September 30, 2008, for the provision of professional health care services for Medi-Cal recipients enrolled in Kaiser Foundation Health Plan. CONTINUED ON ATTACHMENT: XX YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATURES) ACTION OF BOARD ON [)Cj r,)( APPROVED AS RECOMMENDED X _ OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE k UNANIMOUS (ABSENT AND CORRECT COPY OF AN ACTION TAKEN AND ENTERED ON THE MINUTES OF THE BOARD AYES: NOES: OF SUPERVISORS ON THE DATE SHOWN. ABSENT: ABSTAIN: Contact Person: Patricia Tan uar 313-6004 ATTESTED q }' ) DAVID J. TWA, CLERK OF THE BOARD OF CC: Health Services Department (Contracts) SUPERVISORS AND COUNTY ADMINISTRATOR Auditor Controller `^ Q Contractor BY CV vim/`-C- � DEPUTY Board Order Page 2 #27-277-10 . County and Contractor have agreed to extend the term for an additional year at the current capitation rates in order to provide County with pricing stability for services provided to Medi-Cal recipients. Approval of Contract Amendment/Extension Agreement #27-277-10 will allow the Contractor to continue providing services through September 30, 2009.